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Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China

Ling Ding1,2,3,4,5, Shuping Su1,2,3,4,5, Cheng Chen1,2,3,4,5

  • 1Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China.

Frontiers in Pediatrics
|June 20, 2022
PubMed

Insights

Tracheobronchial foreign bodies (FBs) are most common in young children, with nuts being the frequent culprit. Prompt medical intervention is crucial to prevent complications like hypoxic ischemic encephalopathy (HIE).

Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Medical Imaging

Background:

  • Tracheobronchial foreign body (FB) aspiration is a significant cause of respiratory distress in children.
  • Early diagnosis and intervention are critical to prevent severe outcomes.

Purpose of the Study:

  • To analyze the clinical characteristics of tracheobronchial foreign body (FB) cases in a pediatric Chinese population.
  • To identify risk factors and outcomes associated with pediatric tracheobronchial FB aspiration.

Main Methods:

  • Retrospective analysis of clinical data from pediatric patients (0-18 years) diagnosed with tracheobronchial FB.
  • Data collected from Children's Hospital of Chongqing Medical University between September 2018 and August 2021.

Main Results:

  • 1,328 cases were analyzed; 92.09% of patients were under 3 years old.
  • Nuts were the most common foreign body type (81.17%), often lodged in the right bronchus.
  • Delayed presentation was associated with longer hospital stays; 1.51% developed hypoxic ischemic encephalopathy (HIE).

Conclusions:

  • Tracheobronchial FBs predominantly affect children under 3 years old.
  • Emergency treatment is vital for children with FB aspiration to reduce HIE risk.
  • Rigid bronchoscopy is the primary and effective method for FB removal in pediatric cases.
Abstract

Keywords:
aspirationbronchoscopychildrenforeign bodytracheobronchial

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